Individual provider Active NPI

Rebecca Leigh Stine, PSYD

  • Clinical Psychologist
  • King of Prussia, PA
National Provider Identifier
1053039966
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS019665 Issued in PA
Practice address
20134 Valley Forge Cir
King of Prussia, PA 19406-1112
Phone
(610) 878-9330
NPI assigned
Aug 16, 2022
Last updated
Sep 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS019665 PA Primary

Addresses

Primary practice location

20134 Valley Forge Cir
King of Prussia, PA 19406-1112

Mailing address

20134 Valley Forge Cir
King of Prussia, PA 19406-1112
Phone (610) 878-9330

Other names 1

  • Rebecca Leigh Brown Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL therapynotes.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220920003729 PA Practitioner - Clinical Psychologist 1254716681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Center LLCGroup PAC ID 9830409226, 23 clinicians

Practice addresses (Care Compare)

20134 Valley Forge Cir
King of Prussia, PA 19406-1112
Phone (610) 878-9330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS019665PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center, LLC Clinical CurrentSince Sep 1, 2022 Accepting new patients

Locations

20134 Valley Forge Cir
Kng of Prussa, PA 19406
Phone (610) 878-9330

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1053039966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20134 VALLEY FORGE CIR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061112",
            "telephone_number": "610-878-9330",
            "fax_number": "267-552-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20134 VALLEY FORGE CIR",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061112",
            "telephone_number": "610-878-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "REBECCA",
        "middle_name": "LEIGH",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "SAS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "electronic documents",
            "address_1": "20134 Valley Forge Cir",
            "city": "King Of Prussia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194061112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BROWN",
            "middle_name": "LEIGH",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.